Power to Prevent - National Diabetes Education Program - National ...

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Anger and Self-Care Anger worked against Mary H., a woman in her mid-50s who was diagnosed with diabetes six months earlier. She was furious. She saw diabetes as not just a threat to her health, but also a threat to her whole way of life. A very proud woman, active in community and social affairs, she found it impossible to be open about her “weakness.” She didn’t want her friends to prepare special foods for her. She even felt that her husband now saw her as an “invalid” and that she was “less of a woman” to him. Denial fueled Mary’s anger at diabetes. The Anger Circle Mary was stuck in an anger circle. She was angry at diabetes for changing her life. She refused to face her health care needs because she refused to change her life. Her diabetes went uncared for, and her blood glucose levels stayed high. As the disease continued to be poorly controlled, Mary felt worse. Her anger at diabetes grew. If you fnd yourself in an anger circle, like Mary, you don’t have to stay stuck. One way to break the circle comes from Dr. Weisinger’s Anger Work Out Book by Hendrie Weisinger, Ph.D. He suggests that you do three things: . Figure out what’s making you angry. How is that anger affecting your life? Keep track of when you feel angry. Each evening, think back over the day. When were you angry? What time was it? At whom were you angry? What did you do about it? After several weeks, read over your notes. Do you see any patterns? When Mary read her anger diary, she learned that social situations made her angry. She did not like talking about her diabetes in public. She felt angry if friends asked her what she could eat or if they made special food. When she and her husband tried to go out with friends, she felt that her diabetes was the center of attention. 2. Change the thoughts, physical responses, and actions that fuel your anger. Look for warning signs that your anger is building. Do you feel tense? Are you talking louder and faster? When you feel anger taking over, calm yourself by: Talking slowly Slowing your breathing Getting a drink of water Counting to 0 Stopping to write down what you are feeling in your anger journal These steps don’t take away the thing that is causing your anger, but they do help you take charge of your anger instead of letting IT control YOU. 3. Find ways to make your anger work for you. Your anger diary can help. Read your notes again. Look at each situation. Ask yourself, “How was my anger helping me cope?” Mary decided her anger was helping her avoid talking about her diabetes with others. She decided to try answering questions in a matter-of-fact way, but she found that talking about diabetes in public still made her furious. Mary’s anger told her something very important: she still hadn’t accepted having diabetes. To get more support, she joined her local American Diabetes Association chapter and participated in their support group. Meeting other people with diabetes helped her feel less alone. She also realized that having diabetes did not make her less of a person. Slowly, she became able to enjoy her friends again. She became able to talk openly about her disease and also to tell her friends that she didn’t want special treatment. NDEP Power to Prevent Appendices 9
Let Anger Be Your Ally The goal is not to try to totally eliminate anger from your life. You may go on feeling angry about the same things. When you feel threatened, afraid, or frustrated, anger is a normal response. You can put your anger to work for you. Your anger may be a signal that you need to take action. A few sessions with a skilled counselor might help you learn to use your anger constructively. Anger can be a force for action, change, and growth. The better you understand your anger, the better you will be able to use it for good self-care. NDEP Power to Prevent Appendices 92
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Power to Prevent A Family Lifestyle
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Credits and Acknowledgments NDEP Af
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Table of Contents Foreword. . . . .
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Appendix Materials and Resources Th
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Additional Resources for Program Le
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Organizations Black Women’s Healt
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in the Forward/Introduction section
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NDEP GAME PLAN Food and Activity Tr
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Session No. and Title Session 10 Pa
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Session Duration Each session is de
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Session Preparation As program lead
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Refreshments and healthful snacks,
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Conducting the Session NOTE: Times
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Say: “Let’s fll in our Individu
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The program leader ends the session
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NOTE: You could choose other sticke
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NDEP Power to Prevent Program Leade
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Getting Started Getting started wit
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NDEP Power to Prevent Program Leade
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Key to Icons Used in Power To Preve
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At least two helpers to assist peop
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Say: “The objectives for today’
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What are some of the Complications
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Pledge Possible Improvements I’ll
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NDEP Power to Prevent Session 0
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Purchase stickers (stars, smiling f
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Discussion Points Say: “Small Ste
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Preparation and Reminders for the N
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Advance Preparation NOTE: The NDEP
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Discussion Points Say: “Healthy e
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Activity Take a 5- to 0-minute brea
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Tips for Inviting a Registered Diet
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NDEP Power to Prevent Session 3 0
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Appendix U: Why Physical Activity I
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in silence. Suggest that if partici
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Ask participants to name ways that
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Optional Activities 4.1 Visit an At
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also be downloaded from the NDEP We
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Say: “Cooking can be a fun activi
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Brochure 7 Principles for Controlli
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Conducting the Session Welcome Welc
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List answers on a fipchart, and mak
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Conducting the Session Welcome Welc
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Activity Take a 5- to 0-minute brea
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Advance Preparation In addition to
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Further Information on Diabetes Pre
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Obtain copies of Appendix Q: Energi
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Review of Discussion Points Say:
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My Pyramid Some people in your grou
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Bring copies of menus from several
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Example of better “I statement”
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If you plan do to the Optional Acti
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It is recommended that people with
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Optional Activities 1.1 Review the
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Discussion Points Say: “Making ch
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Pledge Have participants make an in
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Advance Preparation for Session 12
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Make photocopies of the Post-progra
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Review of Discussion Points Say:
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NDEP Power to Prevent Appendices 2
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Sample Letter to Potential Partners
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Black Women’s Health Imperative w
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Community newspaper organizations S
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Selecting and Securing a Regular Me
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Reward participants for fnishing th
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People bring their children to the
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“I can accept failure. Everyone f
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Session Questionnaire Intent 1 Pre-
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Where Am I Right Now? Thinking abou
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Page 187 and 188: Please answer the following. (Check
Page 189 and 190: Check Ups Please check “Yes” or
Page 191 and 192: How confdent are you now? Please ci
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Page 199 and 200: 1 Start Here 2 Check Calories 3 Lim
Page 213 and 214: The Plate Method The Plate Method c
Page 223 and 224: Spotting Denial Denial has a few ca
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Page 237 and 238: Si Usted Tiene Diabetes, ¡Sepa los
Page 239 and 240: Small Steps. Big Rewards. Prevent T
Page 241 and 242: Publications and Resources for Chil
Page 243 and 244: Team Care: Comprehensive Lifetime M
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Page 249 and 250: New Beginnings: A Discussion Guide
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